Manipal Hospital Dhakuria Successfully Treats a Rare Dual Coronary Artery Fistula

News Desk, News Nation 360 : Coronary Artery Fistula (CAF), a rare and potentially dangerous cardiac ailment that affects only 0.02% of the general population, was successfully treated in a 56-year-old Diamond Harbour woman. The procedure was finished in 2.5 hours by the skilled team under the direction of Dr Kaushik Mukherjee, Consultant Cardiothoracic Surgeon at Manipal Hospital, Dhakuria. The patient, who initially presented with palpitations and chest pain during routine chores, remained undiagnosed after standard tests like ECG and Echo. However, a specialised CT coronary angiography revealed two abnormal arterial connections—one from the left main coronary artery and another from a branch of the right coronary artery—both of which were draining improperly into the pulmonary artery. This rare anomaly caused "coronary steal syndrome," a phenomenon where blood meant for the heart muscle is diverted, significantly reducing the heart's pumping efficiency and increasing the risk of unstable angina or heart failure. To address this, the cardiac team at Manipal Hospital utilised a minimally invasive interventional approach, successfully closing the abnormal fistulas using specialised coils. This precision-based procedure restored normal blood flow without the need for open-heart surgery, allowing the patient to experience immediate relief from her symptoms. While such congenital conditions often remain silent during youth, this case underscores the vital importance of advanced imaging in diagnosing adult-onset symptoms. The successful intervention highlights Manipal Hospital Dhakuria's growing expertise in managing complex congenital cardiac anomalies with high-precision, minimally invasive techniques. Dr Kaushik Mukherjee, Consultant Cardiothoracic Surgeon, explained that Geeta and her sole kid arrived at the hospital. They were both terrified and extremely worried about her health. Their staff gave her advice and acted right away to improve her condition. They used a tiny patch manufactured from the patient's native heart covering (pericardium) to seal the aberrant link. To halt the undesired blood flow, they also securely tied off the tiny arterial branch of the right coronary artery. The day after surgery, she was taken off mechanical ventilation.